Publications
Peer-reviewed literatures on the advances of dentistry and white papers.

Empowering Small Practices: Advantages and clinical applications of iTero™ Design Suite, a CAD software powered by exocad™ in Chairside Dentistry
In today’s rapidly evolving dental landscape, small and medium-sized practices
often face barriers to adopting digital workflows—primarily due to high costs
and closed-system limitations. This white paper introduces the iTero™ Design
Suite powered by exocad, a revolutionary, subscription-based CAD software that
breaks down these barriers by offering open-system compatibility, cost-effective
solutions, and intuitive design tools.
Designed to integrate seamlessly with a wide range of 3D printers and milling
machines, the iTero™ Design Suite empowers clinicians to perform a variety of
chairside procedures—all in-house and with minimal investment.
* Veneer mock-ups for smile design and aesthetic planning
* Bridges for anterior and posterior restorations
* Chairside inlays
* Custom paediatric crowns for treating nursing bottle caries
* Same-day ceramic crowns
* Deprogramming splints for occlusal therapy
* Temporary Maryland bridges
Key benefits:
* Open architecture: Compatible with variety of hardware, reducing the need for
costly bundled systems.
* User-friendly interface: Ideal for beginners and experienced clinicians
alike.
* Versatile applications: Supports crowns, bridges, veneers, inlays, splints,
and more.
* Rapid turnaround: Enables design-to-delivery workflows in under 20 minutes.
* Enhanced patient experience: Features like mock-up design and smile
simulation improve communication and treatment acceptance.

Clinical confidence through accuracy: iTero Lumina™ intraoral scanner and the future of full-arch implant restorations.
Summary:
The iTero Lumina intraoral scanner sets a new standard in digital dentistry by
matching photogrammetry’s renowned accuracy for full-arch implant restorations,
while delivering greater workflow simplicity and patient comfort.
Key Points: iTero Lumina vs. Photogrammetry
* Comparable Accuracy: The iTero Lumina uses Multi-Direct Capture (MDC)
technology, achieving scan results within the strict error thresholds set for
photogrammetry—horizontal error under 50 µm, vertical error under 30 µm, and
angular deviation under 0.4°, ensuring passive fit for prosthetic planning.
* Workflow Efficiency: Unlike photogrammetry, which requires multiple steps
(scan pins, extraoral camera, specialized software), the Lumina completes a
full-arch scan in a single pass with its expanded field of view, minimizing
patient chair time and operator effort.
* Reduced Costs and Complexity: Photogrammetry equipment is costly
($25,000–$40,000) and involves complex procedures, while the iTero Lumina
uses standard scanning methods without accessories, streamlining restorative
workflows for everyday clinical use.
Conclusion
By integrating accuracy once limited to photogrammetry into a streamlined and
ergonomic scanning experience, the iTero Lumina empowers clinicians to handle
even the most complex cases with confidence, efficiency, and patient comfort. As
more clinical studies validate these findings, the iTero Lumina is positioned to
transform restorative digital dentistry, making exceptional scan accuracy
accessible without the high cost and complexity of photogrammetry systems

Fully digital workflow for full-arch implant rehabilitation with iTero Multi-Direct Capture™ technology
Article summary:
In this article, Dr Alessandro and Dr Andrea Agnini describe a complex full-arch
implant rehabilitation case performed using a fully digital workflow. They
emphasize the advantages of Multi-Direct Capture technology in delivering highly
accurate, efficient, and predictable outcomes in dental prosthetics.
Case Overview
A 65-year-old male patient presented with terminal dentition in the upper jaw,
including poor aesthetics, limited function, halitosis, pain, and tooth
mobility. After comprehensive digital diagnostics using an iTero Lumina
intraoral scanner, the clinical team planned full-arch implant prosthetic
rehabilitation and conservative treatment for lower anterior teeth. The process
involved virtual smile design, guided implant placement, and digital planning
using multidisciplinary data integration (CBCT, intraoral scans, and facial
scans).
Multi-Direct Capture Technology Highlights
* The iTero Lumina scanner’s proprietary Multi-Direct Capture technology
enabled faster, deeper, and more accurate 3D data collection compared to
traditional methods, streamlining workflow across diagnosis, planning,
execution, and restoration.
* This technology delivered full-jaw scan accuracy similar to photogrammetry,
the current gold standard, but without the need for additional capture
devices, simplifying the process for both clinicians and labs.
* The enhanced capture field was crucial for scanning edentulous areas and soft
tissues accurately, contributing to passive fit and long-term clinical
success.
Outcomes and Conclusion
* The final prosthesis, fabricated with digital CAD/CAM design and high-quality
materials (monolithic zirconia on a titanium bar), provided excellent
aesthetic and functional results verified by digital checks and clinical
protocols.
* The case demonstrates that accurate digital data capture, enabled by
Multi-Direct Capture technology, is a transformative advancement for
full-arch implant rehabilitation, improving workflow efficiency, material
selection, and long-term prognosis
🔗 ACCESS THE FULL ARTICLE : DDS MAGAZINE, ISSUE 8 (JUNE 2025)
[https://digital-dentistry.org/mag/]

(Chapter 1) Efficient end-to-end digital dentistry workflows in a multidisciplinary practice
How can a unified digital ecosystem—such as the Align Digital Platform—improve
dental care at every stage, from data capture, diagnosis, and communication to
treatment planning and execution, particularly in multidisciplinary and
paediatric dental practices?
Key Benefits of a Unified Digital Ecosystem Workflow for Dentists
* Advanced Technology Integration: Tools such as the iTero intraoral scanner,
iTero Design Suite (powered by exocad CAD/CAM software), and in-practice 3D
printing support rapid and highly accurate digital impressions, enabling
same-day fabrication of restorations like crowns.
* Faster Treatment Times: Digital workflows allow for same-day paediatric
restorations—for example, 3D-printed crowns in under 20 minutes—reducing
chair time and the number of visits.
* Better patient Communication: Intraoral scanners generate detailed 3D models
that help dentists explain diagnoses and treatment plans more clearly to
patients and parents, fostering trust and treatment acceptance.
* Custom Fit and Aesthetics: Each restoration is precisely designed to match
individual anatomy, improving comfort, fit, and visual appeal compared with
traditional prefabricated options.
* Efficiency and Patient Expectations: Today’s patients expect efficient care
that fits into their busy schedules. Digital workflows streamline processes,
minimize chair time, and enhance both patient satisfaction and practice
profitability.
* Delegation and Scalability: The integrated digital platform connects
scanning, CAD design, and 3D printing, empowering dental teams to handle
design and production tasks while dentists focus on clinical care.
* Practice Growth: Faster workflows and elevated patient experiences drive
higher productivity, improved outcomes, and stronger patient loyalty.

(Chapter 2) Efficient end-to-end digital dentistry workflows in a multidisciplinary practice
How can a unified digital ecosystem—such as the Align Digital Platform—improve
dental care at every stage, from data capture, diagnosis, and communication to
treatment planning and execution, particularly in multidisciplinary and
paediatric dental practices?
Key Benefits of a Unified Digital Ecosystem Workflow for Dentists
* Advanced Technology Integration: Tools such as the iTero intraoral scanner,
iTero Design Suite (powered by exocad CAD/CAM software), and in-practice 3D
printing support rapid and highly accurate digital impressions, enabling
same-day fabrication of restorations like crowns.
* Faster Treatment Times: Digital workflows allow for same-day paediatric
restorations—for example, 3D-printed crowns in under 20 minutes—reducing
chair time and the number of visits.
* Better patient Communication: Intraoral scanners generate detailed 3D models
that help dentists explain diagnoses and treatment plans more clearly to
patients and parents, fostering trust and treatment acceptance.
* Custom Fit and Aesthetics: Each restoration is precisely designed to match
individual anatomy, improving comfort, fit, and visual appeal compared with
traditional prefabricated options.
* Efficiency and Patient Expectations: Today’s patients expect efficient care
that fits into their busy schedules. Digital workflows streamline processes,
minimize chair time, and enhance both patient satisfaction and practice
profitability.
* Delegation and Scalability: The integrated digital platform connects
scanning, CAD design, and 3D printing, empowering dental teams to handle
design and production tasks while dentists focus on clinical care.
* Practice Growth: Faster workflows and elevated patient experiences drive
higher productivity, improved outcomes, and stronger patient loyalty.

Fixed Implant Rehabilitation for A Mandibular Edentulous Patient Using Innovative Multi-Direct Capturing Intraoral Scanning Technology: A Case Report
Purpose
The in vivo case report explores whether the iTero Lumina scanner multi-direct
capture technology—can overcome common limitations of traditional and previous
digital impression techniques in complex, full-arch implant cases, and achieve a
passive, accurate prosthetic fit with improved patient experience and clinical
workflow
Approach
A 72-year-old male with severe mandibular and maxillary dental disease opted for
a full-arch mandibular extraction with immediate implant placement and
provisional loading. The treatment strategy combined advanced digital planning,
fully guided surgical techniques, and digital impression taking. The paper’s
clinical focus is on the impression and restorative phase of the mandibular
rehabilitation using the novel MDC technology in the iTero Lumina scanner,
comparing its practical utility to known challenges in full-arch intraoral
scanning.
Key stages
1. Digital planning & Surgical stage
* iTero lumina scan & Dicom files were gathered and merged for virtual
implant planning using DSD Planning center
* Guided extraction and immediate placement of six Straumann implants
(All-on-6 concept) using a 3D-printed surgical guide.
* A 3D-printed provisional prosthesis was delivered immediately after
surgery.
2. Prosthetic Stage
* After 4 months, digital impressions of the healed mandibular arch and scan
bodies were obtained with the iTero Lumina scanner
* The upper provisional denture was scanned for occlusal reference.
* The acquired digital data were sent to the dental laboratory for CAD/CAM
design and fabrication of a full-arch, metal-ceramic FP3 prosthesis and
passive fit was assessed both on the model and intraorally before final
delivery.
3. Prosthetic fit & delivery
Findings:
* The iTero Lumina with MDC technology enabled comprehensive, accurate digital
capture of implant positions and surrounding anatomy in a single, efficient
scan path.
* The scanner’s ability to capture a wide area and multiple angles
simultaneously reduced stitching and alignment errors, a common issue in
full-arch digital impressions.
* The workflow resulted in a precise, passive fit of the final mandibular
prosthesis on the first try, with no clinical or radiographic discrepancies.
* The patient reported a comfortable, fast, and stress-free experience,
benefitting from the scanner’s ergonomic design and non-invasive process.
* No complications were observed during healing or after final prosthesis
delivery, and the patient achieved high functional and aesthetic
satisfaction.
* Scanning utilized multi-angled, simultaneous data capture over a wide field
of view, reducing the need for sequential scanning and minimizing stitching
errors.
🔗 ACCESS THE FULL ARTICLE : READ ON PUBMED
[https://pubmed.ncbi.nlm.nih.gov/40305061/]

Full arch accuracy of intraoral scanners with different acquisition technologies: An in vitro study
Purpose
The study assessed and compared the full-arch accuracy—of five intraoral
scanners (IOS), using three different acquisition technologies.
Approach
* Used a standardized cast as recommended by ADA/ANSI 132 standard, each
scanner was tested across 90 scans with three experienced operators.
* Technologies evaluated:
* Confocal Imaging: TRIOS5 & CS3800
* Structured Light: Mediti700 & AlliedStar260
* Multi-Direct Capture (MDC): iTero Lumina
Key Metrics Assessed & Findings:
* Trueness: Measures closeness of the scan measurements to the actual
reference values.
* iTero Lumina (MDC) showed the lowest mean error in trueness (0.04%)
outperforming all other scanners.
* Precision: Measures consistency across repeated scans.
* iTero Lumina (MDC) showed the lowest mean error for precision (0.032%)
and highest ratio of acceptable scans (99.6%).
* Plane Deviation: Measures vertical error from a reference plane.
* Lumina’s mean error was lowest at 19μm, superior to other scanners,
statistically significant vs CS 3800 only.
* Inter-Operator Variability
* iTero Lumina provided the most consistent results across operators. This
could translate into reduced technique-sensitivity.
Conclusion:
* Scanning Technology Matters:
MDC technology (iTero Lumina) greatly improved linear accuracy (trueness and
precision) in full-arch scans compared to confocal and structured-light
scanners.
* Clinical Significance:
iTero lumina delivered the most reliable and consistent results, and may
offer a more accurate, efficient and reliable digital impression solution for
full-arch dentistry, though the authors emphasize the need for further
research under real-world clinical conditions.
* Future Directions:
More research is recommended, especially for implant borne restorations in
real-world.
> Baresel, I., & Baresel, J. (2025). Full arch accuracy of intraoral scanners
> with different acquisition technologies: An in vitro study. Journal of
> Dentistry, 156, 105703. https://doi.org/10.1016/j.jdent.2025.105703
🔗 ACCESS THE FULL ARTICLE : READ ON SCIENCEDIRECT
[https://www.sciencedirect.com/science/article/pii/S0300571225001484?via%3Dihub]

Bridging patient psychology and practice growth: The dual impact of iTero™ Lumina scanner by Dr. Sarvanan Kanagavel
Dr. Saravanan’s experience with the iTero Lumina™ scanner highlights how it
transformed his dental practice by making patient communication clearer, faster,
and more personalized. He found that the scanner’s high-resolution, lifelike 3D
images enabled patients to easily see and understand their dental issues,
regardless of their psychological profile—whether confident, inquisitive,
skeptical, or anxious. Real-time, transparent visuals and progress tracking
(including before-and-after comparisons) help skeptical or anxious patients see
and believe in the dentist’s assessment and recommendations. This visual
clarity-built trust, improved acceptance of treatment plans, and made
consultations more efficient. The scanner’s speed and comfort, combined with
advanced analytical tools, allowed Dr. Saravanan to engage every patient
effectively, resulting in better oral health outcomes and significant practice
growth, including a 42% increase in Invisalign® cases and a 66% boost in
revenue.
Key highlights:
1. Enhanced Practice Image and Efficiency
Using fast, comfortable technology like iTero Lumina™ positions the author
as modern and advanced. It enables 2.45 times more scans than previous
systems, streamlines workflow, and helps build a strong referral base for
him.
2. Significant Revenue Growth
Introducing iTero Lumina™ led to a 42% increase in Invisalign® cases and a
66% rise in overall practice revenue at the author’s clinic, clearly showing
strong business benefits and a solid return on investment.
3. Visual education increases perceived Value
iTero Lumina™ scans with the Align™ Oral Health Suite make it easier to
personalize communication using 3D visuals, Timelapse, and outcome
simulators, based on each patient’s psychology, needs and trust level. This
reduces the need to convince patients about the clinical approach. The
author found that patients better understood the proposed treatment options
and the associated value, leading to greater acceptance of comprehensive and
preventive care.

Proactive adoption of Align™ Oral Health Suite on iTero™ Scanner for presentation of findings in routine consultation to drive patient engagement and profitability.
Making the first impression: Building trust in modern doctor-patient
relationships
Establishing trust in the dentist-patient relationship is a critical aspect of
modern dental practice. As the patients become increasingly informed and
discerning, the dynamics of this relationship have evolved significantly. Trust
is fundamental for effective communication, patient satisfaction, and adherence
to treatment plans. The patient needs to feel confident that their dentist is
not only skilled but also genuinely cares about their well-being.

Adopting iTero™ scanners to diagnose, communicate, and treat patients – a general dentist perspective.
Introduction
As a general dentist, I am always looking for solutions to make the day-to-day
activities of my practice easier for me and my staff and more enjoyable for my
established and potential new patients. I want to ensure patients have a
memorable time so that they look forward to returning and referring their family
and friends to become our patients. This may sound ironic, given the reputation
visits to the dentist have had for decades. However, dentistry has changed, and
I am proud to be one of those professionals to lead this change. Last year, I
incorporated the Align™ Oral Health Suite into my new patient exam and recall
and emergency exam workflows. The process was seamless, and the patient-friendly
product interface uses language familiar to the person sitting in your dental
chair, helps patients follow the conversation where they can actively
participate and feel part of the process during a consult. Innovations have been
developed since then, and I will describe a clinical case of how I have
implemented them into my practice, from scanning, diagnosing, designing,
treating, and monitoring

Digital dental pathways modernizing visualization, designs, and clinical outcomes: Align Technology creating comprehensive dental solutions for modern practices.
Introduction
As a general dentist, I see potential patients walk into my practice with all
sorts of oral health issues every day. Most of them are not aware of all that is
happening inside their mouths and generally come to see me for issues that are
obvious to what they see in front of a mirror or when they are in discomfort and
pain. We are traditionally trained to attend to the prospective patient’s chief
complaint, and many clinicians have a hard time communicating other important
findings. Usually, those findings stay between the clinician and assistant and
are kept on paper or your practice management software for months, even years,
without being addressed until the next emergency visit. Sometimes, the clinician
feels uncomfortable adding other procedures to the treatment plan, fearing that
he or she will be labeled as an individual trying to upsell treatment.
Unfortunately, we have seen in the media cases of dental professionals taking
advantage of people by overtreating them. While these are very few individuals,
a bad reputation has impacted the dental guild worldwide. As a professional, I
have learned to remove biases and assumptions about the person in the dental
chair. I show all the evidence and offer comprehensive treatment plans based on
the individual’s perceived needs to provide function and esthetics with
long-term solutions, not just repair. To present evidence and deliver
comprehensive education, I leverage the power of technology, specifically iTero™
scanners. These devices equip me with the tools to not only attract potential
patients to my practice but also help me to create digital records for
diagnosis, educate patients for informed decision-making,1 plan, design, treat,
and monitor their progress throughout their journey (Figure 1). This emphasis on
technology underscores the evolution of dental practice and its benefits for
both professionals and patients. I
Publications
Peer-reviewed literatures on the advances of dentistry and white papers.

Empowering Small Practices: Advantages and clinical applications of iTero™ Design Suite, a CAD software powered by exocad™ in Chairside Dentistry
In today’s rapidly evolving dental landscape, small and medium-sized practices
often face barriers to adopting digital workflows—primarily due to high costs
and closed-system limitations. This white paper introduces the iTero™ Design
Suite powered by exocad, a revolutionary, subscription-based CAD software that
breaks down these barriers by offering open-system compatibility, cost-effective
solutions, and intuitive design tools.
Designed to integrate seamlessly with a wide range of 3D printers and milling
machines, the iTero™ Design Suite empowers clinicians to perform a variety of
chairside procedures—all in-house and with minimal investment.
* Veneer mock-ups for smile design and aesthetic planning
* Bridges for anterior and posterior restorations
* Chairside inlays
* Custom paediatric crowns for treating nursing bottle caries
* Same-day ceramic crowns
* Deprogramming splints for occlusal therapy
* Temporary Maryland bridges
Key benefits:
* Open architecture: Compatible with variety of hardware, reducing the need for
costly bundled systems.
* User-friendly interface: Ideal for beginners and experienced clinicians
alike.
* Versatile applications: Supports crowns, bridges, veneers, inlays, splints,
and more.
* Rapid turnaround: Enables design-to-delivery workflows in under 20 minutes.
* Enhanced patient experience: Features like mock-up design and smile
simulation improve communication and treatment acceptance.

Clinical confidence through accuracy: iTero Lumina™ intraoral scanner and the future of full-arch implant restorations.
Summary:
The iTero Lumina intraoral scanner sets a new standard in digital dentistry by
matching photogrammetry’s renowned accuracy for full-arch implant restorations,
while delivering greater workflow simplicity and patient comfort.
Key Points: iTero Lumina vs. Photogrammetry
* Comparable Accuracy: The iTero Lumina uses Multi-Direct Capture (MDC)
technology, achieving scan results within the strict error thresholds set for
photogrammetry—horizontal error under 50 µm, vertical error under 30 µm, and
angular deviation under 0.4°, ensuring passive fit for prosthetic planning.
* Workflow Efficiency: Unlike photogrammetry, which requires multiple steps
(scan pins, extraoral camera, specialized software), the Lumina completes a
full-arch scan in a single pass with its expanded field of view, minimizing
patient chair time and operator effort.
* Reduced Costs and Complexity: Photogrammetry equipment is costly
($25,000–$40,000) and involves complex procedures, while the iTero Lumina
uses standard scanning methods without accessories, streamlining restorative
workflows for everyday clinical use.
Conclusion
By integrating accuracy once limited to photogrammetry into a streamlined and
ergonomic scanning experience, the iTero Lumina empowers clinicians to handle
even the most complex cases with confidence, efficiency, and patient comfort. As
more clinical studies validate these findings, the iTero Lumina is positioned to
transform restorative digital dentistry, making exceptional scan accuracy
accessible without the high cost and complexity of photogrammetry systems

Fully digital workflow for full-arch implant rehabilitation with iTero Multi-Direct Capture™ technology
Article summary:
In this article, Dr Alessandro and Dr Andrea Agnini describe a complex full-arch
implant rehabilitation case performed using a fully digital workflow. They
emphasize the advantages of Multi-Direct Capture technology in delivering highly
accurate, efficient, and predictable outcomes in dental prosthetics.
Case Overview
A 65-year-old male patient presented with terminal dentition in the upper jaw,
including poor aesthetics, limited function, halitosis, pain, and tooth
mobility. After comprehensive digital diagnostics using an iTero Lumina
intraoral scanner, the clinical team planned full-arch implant prosthetic
rehabilitation and conservative treatment for lower anterior teeth. The process
involved virtual smile design, guided implant placement, and digital planning
using multidisciplinary data integration (CBCT, intraoral scans, and facial
scans).
Multi-Direct Capture Technology Highlights
* The iTero Lumina scanner’s proprietary Multi-Direct Capture technology
enabled faster, deeper, and more accurate 3D data collection compared to
traditional methods, streamlining workflow across diagnosis, planning,
execution, and restoration.
* This technology delivered full-jaw scan accuracy similar to photogrammetry,
the current gold standard, but without the need for additional capture
devices, simplifying the process for both clinicians and labs.
* The enhanced capture field was crucial for scanning edentulous areas and soft
tissues accurately, contributing to passive fit and long-term clinical
success.
Outcomes and Conclusion
* The final prosthesis, fabricated with digital CAD/CAM design and high-quality
materials (monolithic zirconia on a titanium bar), provided excellent
aesthetic and functional results verified by digital checks and clinical
protocols.
* The case demonstrates that accurate digital data capture, enabled by
Multi-Direct Capture technology, is a transformative advancement for
full-arch implant rehabilitation, improving workflow efficiency, material
selection, and long-term prognosis
🔗 ACCESS THE FULL ARTICLE : DDS MAGAZINE, ISSUE 8 (JUNE 2025)
[https://digital-dentistry.org/mag/]

(Chapter 1) Efficient end-to-end digital dentistry workflows in a multidisciplinary practice
How can a unified digital ecosystem—such as the Align Digital Platform—improve
dental care at every stage, from data capture, diagnosis, and communication to
treatment planning and execution, particularly in multidisciplinary and
paediatric dental practices?
Key Benefits of a Unified Digital Ecosystem Workflow for Dentists
* Advanced Technology Integration: Tools such as the iTero intraoral scanner,
iTero Design Suite (powered by exocad CAD/CAM software), and in-practice 3D
printing support rapid and highly accurate digital impressions, enabling
same-day fabrication of restorations like crowns.
* Faster Treatment Times: Digital workflows allow for same-day paediatric
restorations—for example, 3D-printed crowns in under 20 minutes—reducing
chair time and the number of visits.
* Better patient Communication: Intraoral scanners generate detailed 3D models
that help dentists explain diagnoses and treatment plans more clearly to
patients and parents, fostering trust and treatment acceptance.
* Custom Fit and Aesthetics: Each restoration is precisely designed to match
individual anatomy, improving comfort, fit, and visual appeal compared with
traditional prefabricated options.
* Efficiency and Patient Expectations: Today’s patients expect efficient care
that fits into their busy schedules. Digital workflows streamline processes,
minimize chair time, and enhance both patient satisfaction and practice
profitability.
* Delegation and Scalability: The integrated digital platform connects
scanning, CAD design, and 3D printing, empowering dental teams to handle
design and production tasks while dentists focus on clinical care.
* Practice Growth: Faster workflows and elevated patient experiences drive
higher productivity, improved outcomes, and stronger patient loyalty.

(Chapter 2) Efficient end-to-end digital dentistry workflows in a multidisciplinary practice
How can a unified digital ecosystem—such as the Align Digital Platform—improve
dental care at every stage, from data capture, diagnosis, and communication to
treatment planning and execution, particularly in multidisciplinary and
paediatric dental practices?
Key Benefits of a Unified Digital Ecosystem Workflow for Dentists
* Advanced Technology Integration: Tools such as the iTero intraoral scanner,
iTero Design Suite (powered by exocad CAD/CAM software), and in-practice 3D
printing support rapid and highly accurate digital impressions, enabling
same-day fabrication of restorations like crowns.
* Faster Treatment Times: Digital workflows allow for same-day paediatric
restorations—for example, 3D-printed crowns in under 20 minutes—reducing
chair time and the number of visits.
* Better patient Communication: Intraoral scanners generate detailed 3D models
that help dentists explain diagnoses and treatment plans more clearly to
patients and parents, fostering trust and treatment acceptance.
* Custom Fit and Aesthetics: Each restoration is precisely designed to match
individual anatomy, improving comfort, fit, and visual appeal compared with
traditional prefabricated options.
* Efficiency and Patient Expectations: Today’s patients expect efficient care
that fits into their busy schedules. Digital workflows streamline processes,
minimize chair time, and enhance both patient satisfaction and practice
profitability.
* Delegation and Scalability: The integrated digital platform connects
scanning, CAD design, and 3D printing, empowering dental teams to handle
design and production tasks while dentists focus on clinical care.
* Practice Growth: Faster workflows and elevated patient experiences drive
higher productivity, improved outcomes, and stronger patient loyalty.

Fixed Implant Rehabilitation for A Mandibular Edentulous Patient Using Innovative Multi-Direct Capturing Intraoral Scanning Technology: A Case Report
Purpose
The in vivo case report explores whether the iTero Lumina scanner multi-direct
capture technology—can overcome common limitations of traditional and previous
digital impression techniques in complex, full-arch implant cases, and achieve a
passive, accurate prosthetic fit with improved patient experience and clinical
workflow
Approach
A 72-year-old male with severe mandibular and maxillary dental disease opted for
a full-arch mandibular extraction with immediate implant placement and
provisional loading. The treatment strategy combined advanced digital planning,
fully guided surgical techniques, and digital impression taking. The paper’s
clinical focus is on the impression and restorative phase of the mandibular
rehabilitation using the novel MDC technology in the iTero Lumina scanner,
comparing its practical utility to known challenges in full-arch intraoral
scanning.
Key stages
1. Digital planning & Surgical stage
* iTero lumina scan & Dicom files were gathered and merged for virtual
implant planning using DSD Planning center
* Guided extraction and immediate placement of six Straumann implants
(All-on-6 concept) using a 3D-printed surgical guide.
* A 3D-printed provisional prosthesis was delivered immediately after
surgery.
2. Prosthetic Stage
* After 4 months, digital impressions of the healed mandibular arch and scan
bodies were obtained with the iTero Lumina scanner
* The upper provisional denture was scanned for occlusal reference.
* The acquired digital data were sent to the dental laboratory for CAD/CAM
design and fabrication of a full-arch, metal-ceramic FP3 prosthesis and
passive fit was assessed both on the model and intraorally before final
delivery.
3. Prosthetic fit & delivery
Findings:
* The iTero Lumina with MDC technology enabled comprehensive, accurate digital
capture of implant positions and surrounding anatomy in a single, efficient
scan path.
* The scanner’s ability to capture a wide area and multiple angles
simultaneously reduced stitching and alignment errors, a common issue in
full-arch digital impressions.
* The workflow resulted in a precise, passive fit of the final mandibular
prosthesis on the first try, with no clinical or radiographic discrepancies.
* The patient reported a comfortable, fast, and stress-free experience,
benefitting from the scanner’s ergonomic design and non-invasive process.
* No complications were observed during healing or after final prosthesis
delivery, and the patient achieved high functional and aesthetic
satisfaction.
* Scanning utilized multi-angled, simultaneous data capture over a wide field
of view, reducing the need for sequential scanning and minimizing stitching
errors.
🔗 ACCESS THE FULL ARTICLE : READ ON PUBMED
[https://pubmed.ncbi.nlm.nih.gov/40305061/]

Full arch accuracy of intraoral scanners with different acquisition technologies: An in vitro study
Purpose
The study assessed and compared the full-arch accuracy—of five intraoral
scanners (IOS), using three different acquisition technologies.
Approach
* Used a standardized cast as recommended by ADA/ANSI 132 standard, each
scanner was tested across 90 scans with three experienced operators.
* Technologies evaluated:
* Confocal Imaging: TRIOS5 & CS3800
* Structured Light: Mediti700 & AlliedStar260
* Multi-Direct Capture (MDC): iTero Lumina
Key Metrics Assessed & Findings:
* Trueness: Measures closeness of the scan measurements to the actual
reference values.
* iTero Lumina (MDC) showed the lowest mean error in trueness (0.04%)
outperforming all other scanners.
* Precision: Measures consistency across repeated scans.
* iTero Lumina (MDC) showed the lowest mean error for precision (0.032%)
and highest ratio of acceptable scans (99.6%).
* Plane Deviation: Measures vertical error from a reference plane.
* Lumina’s mean error was lowest at 19μm, superior to other scanners,
statistically significant vs CS 3800 only.
* Inter-Operator Variability
* iTero Lumina provided the most consistent results across operators. This
could translate into reduced technique-sensitivity.
Conclusion:
* Scanning Technology Matters:
MDC technology (iTero Lumina) greatly improved linear accuracy (trueness and
precision) in full-arch scans compared to confocal and structured-light
scanners.
* Clinical Significance:
iTero lumina delivered the most reliable and consistent results, and may
offer a more accurate, efficient and reliable digital impression solution for
full-arch dentistry, though the authors emphasize the need for further
research under real-world clinical conditions.
* Future Directions:
More research is recommended, especially for implant borne restorations in
real-world.
> Baresel, I., & Baresel, J. (2025). Full arch accuracy of intraoral scanners
> with different acquisition technologies: An in vitro study. Journal of
> Dentistry, 156, 105703. https://doi.org/10.1016/j.jdent.2025.105703
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Bridging patient psychology and practice growth: The dual impact of iTero™ Lumina scanner by Dr. Sarvanan Kanagavel
Dr. Saravanan’s experience with the iTero Lumina™ scanner highlights how it
transformed his dental practice by making patient communication clearer, faster,
and more personalized. He found that the scanner’s high-resolution, lifelike 3D
images enabled patients to easily see and understand their dental issues,
regardless of their psychological profile—whether confident, inquisitive,
skeptical, or anxious. Real-time, transparent visuals and progress tracking
(including before-and-after comparisons) help skeptical or anxious patients see
and believe in the dentist’s assessment and recommendations. This visual
clarity-built trust, improved acceptance of treatment plans, and made
consultations more efficient. The scanner’s speed and comfort, combined with
advanced analytical tools, allowed Dr. Saravanan to engage every patient
effectively, resulting in better oral health outcomes and significant practice
growth, including a 42% increase in Invisalign® cases and a 66% boost in
revenue.
Key highlights:
1. Enhanced Practice Image and Efficiency
Using fast, comfortable technology like iTero Lumina™ positions the author
as modern and advanced. It enables 2.45 times more scans than previous
systems, streamlines workflow, and helps build a strong referral base for
him.
2. Significant Revenue Growth
Introducing iTero Lumina™ led to a 42% increase in Invisalign® cases and a
66% rise in overall practice revenue at the author’s clinic, clearly showing
strong business benefits and a solid return on investment.
3. Visual education increases perceived Value
iTero Lumina™ scans with the Align™ Oral Health Suite make it easier to
personalize communication using 3D visuals, Timelapse, and outcome
simulators, based on each patient’s psychology, needs and trust level. This
reduces the need to convince patients about the clinical approach. The
author found that patients better understood the proposed treatment options
and the associated value, leading to greater acceptance of comprehensive and
preventive care.

Proactive adoption of Align™ Oral Health Suite on iTero™ Scanner for presentation of findings in routine consultation to drive patient engagement and profitability.
Making the first impression: Building trust in modern doctor-patient
relationships
Establishing trust in the dentist-patient relationship is a critical aspect of
modern dental practice. As the patients become increasingly informed and
discerning, the dynamics of this relationship have evolved significantly. Trust
is fundamental for effective communication, patient satisfaction, and adherence
to treatment plans. The patient needs to feel confident that their dentist is
not only skilled but also genuinely cares about their well-being.

Adopting iTero™ scanners to diagnose, communicate, and treat patients – a general dentist perspective.
Introduction
As a general dentist, I am always looking for solutions to make the day-to-day
activities of my practice easier for me and my staff and more enjoyable for my
established and potential new patients. I want to ensure patients have a
memorable time so that they look forward to returning and referring their family
and friends to become our patients. This may sound ironic, given the reputation
visits to the dentist have had for decades. However, dentistry has changed, and
I am proud to be one of those professionals to lead this change. Last year, I
incorporated the Align™ Oral Health Suite into my new patient exam and recall
and emergency exam workflows. The process was seamless, and the patient-friendly
product interface uses language familiar to the person sitting in your dental
chair, helps patients follow the conversation where they can actively
participate and feel part of the process during a consult. Innovations have been
developed since then, and I will describe a clinical case of how I have
implemented them into my practice, from scanning, diagnosing, designing,
treating, and monitoring

Digital dental pathways modernizing visualization, designs, and clinical outcomes: Align Technology creating comprehensive dental solutions for modern practices.
Introduction
As a general dentist, I see potential patients walk into my practice with all
sorts of oral health issues every day. Most of them are not aware of all that is
happening inside their mouths and generally come to see me for issues that are
obvious to what they see in front of a mirror or when they are in discomfort and
pain. We are traditionally trained to attend to the prospective patient’s chief
complaint, and many clinicians have a hard time communicating other important
findings. Usually, those findings stay between the clinician and assistant and
are kept on paper or your practice management software for months, even years,
without being addressed until the next emergency visit. Sometimes, the clinician
feels uncomfortable adding other procedures to the treatment plan, fearing that
he or she will be labeled as an individual trying to upsell treatment.
Unfortunately, we have seen in the media cases of dental professionals taking
advantage of people by overtreating them. While these are very few individuals,
a bad reputation has impacted the dental guild worldwide. As a professional, I
have learned to remove biases and assumptions about the person in the dental
chair. I show all the evidence and offer comprehensive treatment plans based on
the individual’s perceived needs to provide function and esthetics with
long-term solutions, not just repair. To present evidence and deliver
comprehensive education, I leverage the power of technology, specifically iTero™
scanners. These devices equip me with the tools to not only attract potential
patients to my practice but also help me to create digital records for
diagnosis, educate patients for informed decision-making,1 plan, design, treat,
and monitor their progress throughout their journey (Figure 1). This emphasis on
technology underscores the evolution of dental practice and its benefits for
both professionals and patients. I
